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General NPI Number Information
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NPI Number | 1508174590
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Entity Type | Organization
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Legal Business Name | TWIN PHARMACY CORP
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 1538 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10033-2605
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Country | US
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Telephone | 212-927-5570
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Fax | 212-927-5575
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Provider Business Mailing Address
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Address Line | 1538 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10033-2605
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Country | US
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Telephone | 212-927-5570
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Fax | 212-927-5575
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Authorized Official
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Title or Position | PRESSIDENT
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Name | MRS. YRIS REYES
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Credential |
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Telephone | 212-927-5540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 030285
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License Number State | NY
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